Encyclopedia of Couple and Family Therapy

Living Edition
| Editors: Jay Lebow, Anthony Chambers, Douglas C. Breunlin

Sexual Tipping Point Model in Couple and Family Therapy

  • Michael A. PerelmanEmail author
Living reference work entry

Latest version View entry history

DOI: https://doi.org/10.1007/978-3-319-15877-8_709-2

Name of Model

The Sexual Tipping Point® model.

Synonyms

Introduction

The Sexual Tipping Point® (STP) The STP is one of a number of models previously labeled “Dual Control,” but it should instead be conceived of as a “Variable Switch” model. The reasons for this theoretical recapitulation reflect advances in our biological, psychosocial, and technological knowledge about the human body (Perelman 2018a). The STP model with its emphasis on the role of biomedical-psychosocial and cultural factors determining sexual response has become one of primary lens that expert sex therapists and a progressively greater number of sexual medicine specialists use to understand sexual function and dysfunction. Increasingly, almost all mental health professionals support these types of models ((Bancroft et al. 2009; Kaplan 1995; Perelman 2009), and are “… considered the gold standard because … sexual dysfunctions involve a complex interplay...

This is a preview of subscription content, log in to check access.

Supplementary material

335234_0_En_709-2_MOESM1_ESM.gif (5.3 mb)

Understanding sexual balance: a key to the sexual tipping point model (GIF 5431 kb)

References

  1. Althof, S. E., Chevret-Measson, M., Hartmann, U., Levine, S. B., McCabe, M., Plaut, M., et al. (2005). Psychological and interpersonal dimensions of sexual function and dysfunction. The Journal of Sexual Medicine, 2(6), 793–800.CrossRefGoogle Scholar
  2. Althof, S. E., Rosen, R. C. Perelman, M.A. Rubio-Aurioles, E. (2012). Standard Operating Procedures for Taking a Sexual History. The Journal of Sexual Medicine, 10(1), 26–35.CrossRefGoogle Scholar
  3. Bancroft, J., Graham, C. A., Janssen, E., & Sanders, S. A. (2009). The dual control model: Current status and future directions. The Journal of Sex Research, 42(2), 121–142.  https://doi.org/10.1080/00224490902747222.CrossRefGoogle Scholar
  4. Berry, M. D., & Berry, P. D. (2013). Contemporary treatment of sexual dysfunction: Reexamining the biopsychosocial model. The Journal of Sexual Medicine, 10(11), 2627–2643.CrossRefGoogle Scholar
  5. Kaplan, H. S. (1995). The sexual desire disorders: Dysfunctional regulation of sexual motivation. New York: Brunner/Mazel, Inc.Google Scholar
  6. Marwick, C. (1999). Survey says patients expect little physician help on sex. JAMA, 281(23), 2173–2174.  https://doi.org/10.1001/jama.281.23.2171c.CrossRefPubMedGoogle Scholar
  7. Parish, S. J., & Rubio-Aurioles, E. (2010). Education in sexual medicine: Proceedings from the international consultation in sexual medicine, 2009. The Journal of Sexual Medicine, 7(10), 3305–3314.  https://doi.org/10.1111/j.1743-6109.2010.02026.x.CrossRefPubMedGoogle Scholar
  8. Perelman, M. A. (2005). Psychosocial evaluation and combination treatment of men with erectile dysfunction. The Urologic Clinics of North America, 32(4), 431–445. vi.  https://doi.org/10.1016/j.ucl.2005.08.010.CrossRefPubMedGoogle Scholar
  9. Perelman, M. A. (2009). The sexual tipping point: A mind/body model for sexual medicine. The Journal of Sexual Medicine, 6(3), 227–632.  https://doi.org/10.1111/j.1743-6109.2008.01177.x.CrossRefGoogle Scholar
  10. Perelman, M. A. (2014). The history of sexual medicine. In APA handbook of sexuality and psychology, Vol. 2: Contextual approaches (pp. 137–179). Washington, DC: American Psychological Association.  https://doi.org/10.1037/14194-005.CrossRefGoogle Scholar
  11. Perelman, M. A. (2016a). Epiologue: Cautiously optimistic for the future of a transdisciplinary sexual medicine. In L. I. Lipshultz, A. W. Pastuszak, A. Giraldi, A. T. Goldstein, & M. A. Perelman (Eds.), Management of sexual dysfunction in men and woman: An interdisciplinary approach. New York: Springer.Google Scholar
  12. Perelman, M. A. (2016b). Psychosexual therapy for delayed ejaculation based on the sexual tipping point model. Translational Andrology and Urology, 5(4), 563–575.  https://doi.org/10.21037/tau.2016.07.05.CrossRefPubMedPubMedCentralGoogle Scholar
  13. Perelman, M. A., & Pastuszak, A. W. (2016). Commentary: The future of erectile dysfunction therapy II – Novel pharmacotherapy and innovate technology. In L. I. Lipshultz, A. W. Pastuszak, A. T. Goldstein, A. Giraldi, & M. A. Perelman (Eds.), Management of sexual dysfunction in men and women (pp. 109–121). New York: Springer.  https://doi.org/10.1007/978-1-4939-3100-2_12.CrossRefGoogle Scholar
  14. Perelman, M. A. (2018a) Why The Sexual Tipping Point is a Variable Switch Model. Current Sexual Health Reports, 10:38. Springer Publications.Google Scholar
  15. Perelman, M. A. (2018b) Sex coaching for non-sexologist physicians: How to use the sexual tipping point model. The Journal of Sexual Medicine, 15(12), 1667–1672.CrossRefGoogle Scholar
  16. Pfaus, J. G. (2009). Pathways of sexual desire. The Journal of Sexual Medicine, 6(6), 1506–1533.  https://doi.org/10.1111/j.1743-6109.2009.01309.x.CrossRefPubMedGoogle Scholar
  17. Rullo J, Faubion S, Hartzell R, Goldstein S, Cohen D, Frohmader K, et al. (2018). Biopsychosocial Management of Female Sexual Dysfunction: A Pilot Study of Patient Perceptions From 2 Multi-Disciplinary Clinics. Sexual Medicine, 6:1–7.  https://doi.org/10.1016/j.esxm.2018.04.003.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Psychiatry, Reproductive Medicine and UrologyWeill Cornell Medicine/New York PresbyterianNew YorkUSA
  2. 2.MAP Education and Research FoundationNew YorkUSA

Section editors and affiliations

  • Farrah Hughes
    • 1
  • Allen Sabey
    • 2
  1. 1.Employee Assistance ProgramMcLeod HealthFlorenceUSA
  2. 2.The Family Institute at Northwestern UniversityEvanstonUSA